About The Position

We are expanding our behavioral health services and are seeking a compassionate Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with psychiatric experience to provide on-site psychiatric care within skilled nursing facilities throughout Columbia County and Ulster County, New York. This is an exceptional full-time opportunity for clinicians who are passionate about serving an often-overlooked patient population while building a rewarding long-term career in geriatric behavioral health. Whether you are looking to transition into a mission-driven practice or advance your psychiatric career within a growing organization, this position offers the autonomy, professional support, and clinical resources needed to succeed. Working in the skilled nursing setting allows providers to make a measurable difference in the lives of residents whose psychiatric needs often go untreated or undertreated. You'll become a valued clinical partner within each facility, helping residents achieve greater emotional stability, improved quality of life, and enhanced overall well-being.

Requirements

  • Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) or Physician Assistant with significant psychiatric experience
  • Active and unrestricted New York license
  • DEA registration or ability to obtain
  • Strong knowledge of psychiatric assessment, diagnosis, psychopharmacology, and treatment planning
  • Ability to independently manage a psychiatric caseload while collaborating effectively with interdisciplinary healthcare teams

Nice To Haves

  • Previous experience in psychiatry, behavioral health, skilled nursing, long-term care, rehabilitation, geriatrics, or post-acute care
  • Experience managing dementia-related behaviors, mood disorders, anxiety disorders, psychosis, chronic psychiatric illness, and medically complex patients
  • Excellent communication, organizational, clinical reasoning, and relationship-building skills
  • Genuine passion for serving elderly and underserved patient populations

Responsibilities

  • Complete comprehensive psychiatric evaluations, behavioral health consultations, and diagnostic assessments for adult and geriatric residents
  • Establish psychiatric diagnoses and formulate evidence-based treatment plans tailored to each resident's behavioral, emotional, medical, cognitive, and psychosocial needs
  • Provide ongoing psychopharmacology management, including initiating, adjusting, monitoring, and optimizing psychiatric medications
  • Evaluate behavioral disturbances associated with dementia, depression, anxiety disorders, bipolar disorder, schizophrenia, psychotic disorders, sleep disorders, personality disorders, adjustment disorders, and chronic mental illness
  • Assess residents experiencing cognitive decline, mood instability, agitation, aggression, hallucinations, or other neuropsychiatric symptoms
  • Collaborate with attending physicians, nursing staff, therapists, rehabilitation professionals, social workers, case managers, and facility leadership to coordinate comprehensive behavioral healthcare
  • Participate in interdisciplinary treatment planning and provide recommendations that improve resident outcomes while promoting behavioral stability
  • Educate residents, family members, guardians, and facility staff regarding psychiatric diagnoses, medication management, behavioral interventions, and realistic treatment expectations
  • Identify opportunities for early psychiatric intervention that help reduce unnecessary emergency department visits, psychiatric admissions, and avoidable hospital transfers
  • Maintain timely, organized, and compliant documentation consistent with state, federal, facility, and organizational standards
  • Promote a compassionate, resident-centered approach that emphasizes dignity, respect, safety, and continuity of psychiatric care

Benefits

  • Competitive compensation with strong earning potential
  • Industry-leading clinical training and continuing education
  • Ongoing mentorship from experienced psychiatric providers
  • Comprehensive administrative and operational support
  • Malpractice insurance coverage
  • Opportunities to increase clinical responsibilities as the organization grows
  • Long-term advancement within a rapidly expanding behavioral health organization
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service